Life-threatening babesiosis in a woman from Wisconsin

Article Abstract:

Babesiosis is an infection of the red blood cells with the Babesia protozoan which is transmitted by the Ixodide tick. It is characterized by fever, chills, drenching sweats, muscle and joint pain, nausea, vomiting, and anemia, a decreased oxygen-carrying capacity of the blood. The Babesia protozoan commonly infects wild and domestic animals, and infects humans residing in remote geographic regions. Most patients with this protozoal infection do not have symptoms or have mild hemolysis, a rupture of red blood cells. The occurrence of babesiosis in persons without a spleen is associated with a high death rate. The effectiveness of various drugs used to treat babesiosis has not been clearly demonstrated. A case is described of a 63-year-old woman from Wisconsin who had severe hemolytic anemia, a decrease in red blood cells due to their rupture. She was later diagnosed as having babesiosis based on blood tests and examination of the red blood cells. Although the patient had an intact spleen, she developed respiratory distress syndrome, a severe impairment of respiration, and required long-term mechanical ventilation. The patient's high blood levels of parasites resolved after treatment with quinine, clindamycin, and exchange transfusions. In exchange transfusion, small amounts of blood are withdrawn and transfused repeatedly until the blood volume is almost entirely exchanged. Babesiosis may be more widespread and severe than previously recognized. Parasitemia, the presence of parasites in the blood, may be treated by exchange transfusion, quinine, and clindamycin. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Case studies, Evaluation, Protozoan diseases, Babesiosis

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Blastomycosis - Wisconsin, 1986-1995

Article Abstract:

The Wisconsin Division of Health confirmed 636 cases of blastomycosis between 1986 and 1995. This fungal infection commonly affects the lungs but can also affect skin, bone, the central nervous system and the genitourinary system. It is more common in men and occurs when the spores of the fungus, which lives in soil, are inhaled. The fungus is common in the Ohio and Mississippi river valleys and the southeastern US. There is no skin test for the fungus and blood tests are not reliable, so the diagnosis rests on the isolation of the fungus from body tissue. Ketoconazole, itraconazole and amphotericin B are the drugs of choice.

Blastomycosis

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Motivation & the woman's mind

Article Abstract:

Women who would like to look leaner are advised to make their goal a lifestyle, which would help them in realistically setting training goals and programs. The training mind-set would be helped by getting enough rest prior to training, and exercising with positive thoughts.

Psychological aspects, Physical fitness, Women athletes, Reducing exercises

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